Wall Street Dental INC

NPI #1013459130 in Raritan, New Jersey

Provider Information

NPI Number: 1013459130
Entity Type: Organization
Organization Name: Wall Street Dental INC
Primary Specialty: Dentist
Enumeration Date: Nov 7, 2016
Last Updated: Nov 7, 2016

Practice Location

Address: 13 WALL ST
City: Raritan
State: New Jersey
ZIP Code: 08869-1852
Phone: (908) 725-3451

Authorized Official

Name: LOAY SHADID
Title: OWNER
Phone: (908) 725-3451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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